She was unpopular in the community, in part because she had married an American, and in part because she did not behave in a traditionally Hmong way. The Spirit Catches You and You Fall Down explores the clash between a small county hospital in California and a refugee family from Laos over the care of Lia Lee, a Hmong child diagnosed with … When the well-being of the fetus is in jeopardy, a full person who should have the rights and privilege that all Citizens, the beliefs and customs of the family seem to be going against what you believe is in the fetus's best interest, that you have a worse conflict. Conquergood was successful at designing an environmental health program where most others had failed. When, A Hmong community leader in Merced. His core beliefs were still aligned with those of the western medical profession, as he believed that saving a child's life was far more important than respecting the family's beliefs about the soul. GradeSaver, 27 May 2015 Web. Teachers and parents! She was the fourteenth child and definitely their favorite. They loved Lia very much and did their best to care for her. May Ying was a 20-year-old clerk at the Merced County Office of Refugee Services when she began working with Fadiman. Foua and Nao Kao had no way of knowing that Dan had diagnosed it as epilepsy, the most common of all neurological disorders. He was ruthless to his enemies, yet served as a surrogate provider to hundreds of war orphans and widows. The two supervising pediatricians on the faculty of the family practice residency program at MCMC. The Spirit Catches You and You Fall Down documents the struggles of the Lees, a family of Hmong refugees who live in sunny Merced, California. Detailed explanations, analysis, and citation info for every important quote on LitCharts. Hmong vs. Western Medicine. The Spirit Catches You and You Fall Down. Lia Lee was born on July 19, 1982 at Merced Community Medical Center in California. The Spirit Catches You and You Fall Down by Anne Fadiman is about the cross-cultural ethics in medicine. Our Teacher Edition on The Spirit Catches You can help. Neil and Peggy acknowledged their imperfections and were willing to question their own practices in order to improve the outcomes for their patients. The Spirit Catches You and You Fall Down Summary. A public health nurse who made house calls on Lia when she was in her vegetative state. Find out what happens in our Chapter 1 summary for The Spirit Catches You and You Fall Down by Anne Fadiman. Anne Fadiman - She is the author and narrator of the book whose experiences with the Lia and her family are re-told in intimate and tragic detail.She learns while others do not the importance of understanding the culture of the patient in order to properly treat his illness. She once told Nao Kao that she had recommended to CPS that Lia remain in foster care. Merced, California Laos, Southeast Asia Mid 1960s to 1997 Chracter List. The Spirit Catches You and You Fall Down tells the story of Lia Lee, a Hmong child with epilepsy, whose tragic demise reveals the dangers of a lack of cross-cultural communication in the medical profession. Both men were stretched thin by their many responsibilities to the community. The psychologist at Merced Community Outreach Services who introduced Fadiman to five Hmong leaders, thereby paving the way for Fadiman to earn their trust. As the fourteenth child of Hmong immigrants, she was the first of her family to be born in America. Lia ’s father and Foua ’s husband. Novel Synopsis. Ironically, Jeanine's fate eventually mirrored Lia's, as she suffered an asthma attack so severe that she became brain dead, passing away three days later. Dan is the first doctor to diagnose, A Hmong-American interpreter who translates for the Lees and who also accompanies Child Protective Services workers to the Lee household when, A psychologist who works at Merced Community Outreach Services. ... One of Lia ’s primary doctors (along with his wife, … Not affiliated with Harvard College. 11-12 Chapter 11: The Big One On November 25, 1986, the day before Thanksgiving, Lia was eating as normal when she began to seize. He believes that combining western medicine with traditional healing arts not only promotes trust between patients and doctors, but also improves the outcome due to the psychosomatic nature of much disease. Home Author Characters Quotes Contact Characters Lia Lee. A popular doctor among the Hmong in Merced – popular, in part, because he rarely performed surgeries and was happy to give patients their babies' placentas in plastic bags whenever they requested them. LitCharts Teacher Editions. The Question and Answer section for The Spirit Catches You and You Fall Down is a great The Child Protective Services (CPS) caseworker assigned to Lia when she was placed in foster care. The couple spoke no Hmong, but they treated Lia with love and tried to comfort her with physical contact. The Question and Answer section for The Spirit Catches You and You Fall Down is a great resource to ask questions, find answers, and discuss the novel. Fadiman's "cultural broker," who taught her what to do among the Hmong as well as translate what people said. Hutchinson believed that Foua and Nao Kao's lack of compliance with Lia's medical regimen probably had nothing to do with her final seizure. The Hmong interpreter who came to the Lee's home with Child Protective Services (CPS) when Lia was taken from her parents to be placed in foster care. She developed a close relationship with the family and advocated for them whenever she could. She became close friends with the Lees and with many other members of the Hmong community. Her brain was destroyed by septic shock, and it was the septic shock that caused the seizures. The book's author and narrator. The timeline below shows where the character Terry Hutchinson appears in The Spirit Catches You and You Fall Down. This comprehensive lesson plan includes 30 daily lessons, 180 multiple choice questions, 20 essay questions, 20 fun activities, and more - everything you need to teach The Spirit Catches You and You Fall Down! After working as a computer analyst in Paris, he relocated…, A Hmong community leader in Merced, and the director of an organization—Lao Family Community—that helps Hmong people apply for job training, navigate the bureaucratic difficulties of receiving public assistance, and stay up-to-date with news from…, A psychiatrist and medical anthropologist who developed eight questions designed to aid people working in the context of cross-cultural medicine. Nao Kao felt a lot of anger towards her and once nearly hit her with a baseball bat. Jeanine did her best to educate Foua and Nao Kao so that Lia would be allowed to return home, teaching them how to measure and administer Lia's medication. Lia's parents. The family practice resident on call the third time the Lees brought Lia to the emergency room at MCMC. The Spirit Catches You And You Fall Down. Character summaries written by smarty-pantsed PhDs that will make you look smart. Anne Fadiman's The Spirit Catches You and You Fall Down Chapter Summary. Home > Character Descriptions. The epileptic child whose tragic story illustrates the cultural divide between the Hmong and the American medical systems. "Dan had no way of knowing that Foua and Nao Kao had already diagnosed their daughter's problem as the illness where the spirit catches you and you fall down. His colleagues at MCMC did not hold him in particularly high esteem. Home > Character … Novel Synopsis. From the creators of SparkNotes, something better. Lia was the fourteenth child of Foua Yang and Nao Kao Lee and arguably their favorite. Sherwood, Kristin. They did their best to provide optimal medical care to Lia, but they knew little about Hmong culture and never asked the Lees about their beliefs about Lia's illness. Ironically, Foua and Nao Kao may have been right that too much medicine was to blame, as it may have been that the Depakene the doctors had prescribed to control Lia's epilepsy compromised her immune system and made her more susceptible to the bacillus which caused the septic shock. Through extensive interviewing and copious research, Fadiman explores the reasons for the mistakes made by both sides that eventually led to Lia's demise. Nao Kao Lee. 1. She taught Fadiman that the best thing to do in terms of etiquette was to ask, rather than trying to follow a long set of rules. Two Hmong leaders who taught Fadiman about the Hmong. When, A pediatric neurologist who works at Valley Children’s Hospital in Fresno. He was attracted to the Central Valley of California due to its climate and the presence of many different ethnic groups; he had also heard that General Vang Pao was thinking of buying a fruit ranch near Merced. 1. Committed to improving his life, Dang went to the library in his spare time and read about agriculture in other states. Everything you ever wanted to know about Character Clues in The Spirit Catches You and You Fall Down, written by masters of this stuff just for you. "My students can't get enough of your charts and their results have gone through the roof." … The Spirit Catches You and You Fall Down Summary and Analysis of Ch. The Spirit Catches You and You Fall Down Character List Lia Lee. Bibliography. The Spirit Catches You And You Fall Down. Lia Lee is the main character in Anne Fadiman's book The Spirit Catches You and You Fall Down. Lia Lee was born on July 19, 1982 at Merced Community Medical Center in California. Lia Lee Lia was born July 19th, 1982, to two Hmong immigrants. Dee recognized how loving the Lees were and recommended reunification. Find out more about the characters in The Spirit Catches You and You Fall Down. The Spirit Catches You and You Fall Down study guide contains a biography of Anne Fadiman, literature essays, quiz questions, major themes, characters, and a full summary and analysis. Fadiman spent many afternoons in his office, asking questions about Hmong religion, military history, medical practices, weddings, funerals, music, clothing, and other cultural practices. resource to ask questions, find answers, and discuss the novel. Free Summary of The Spirit Catches You and You Fall Down. Comprehensive Study Guide with Chapter Analysis, Themes, Characters & More. As a result, she was placed in foster care for one year in order to ensure she would receive the recommended medicines. There are two different stories happening in The Spirit Catches You and You Fall Down. Dee carried Lia in a backpack while she carried her own youngest child on her front; she also let her sleep in her bed, and breastfed her along with her own baby. My students love how organized the handouts are and enjoy tracking the themes as a class.”, The Spirit Catches You and You Fall Down Characters. Yer, as the older sister of Lee, once slammed a door so hard that caused so much noise leading towards fleeing of Lia Lee’s soul, as her parents Foua and Nao Kao identified the reason behind the sickness of Lia Lee. Our. The Spirit Catches You and You Fall Down by Anne Fadiman is an amazing true story which highlights the role of cultural competence (or lack thereof) and its importance in the healthcare system.The book … Her family continued to love and care for her in her vegetative state for over twenty-five years. Sitemap. Her essays and articles have appeared in Harper’s, The New … This belief put them at odds with Lia's doctors, who did not understand their belief system and insisted upon complete compliance with Lia's medical regimen. The Spirit Catches You and You Fall Down. (including. "The Spirit Catches You and You Fall Down Characters". Epilepsy is called, quag dab peg1 in the Hmong culture that translates to the spirit catches you and you fall down… The medical resident on duty when Lia returned to the MCMC from Valley Children's Hospital after her big seizure and when Nao Kao, perhaps misunderstanding what the doctors were telling him, attempted to leave the hospital with Lia without following the proper discharge procedures. Struggling with distance learning? The Spirit Catches You and You Fall Down “Fadiman describes with extraordinary skill the colliding worlds of Western medicine and Hmong culture.” —The New Yorker “This fine book recounts a … However, the Hmong preferred him as he respected their desire to make their own choices about their bodies. The critical care specialist who treated Lia at Valley Children's Hospital the night of her big seizure. Her age and gender turned out to be an asset, as the Lees felt much more comfortable opening up to people with lower status. The Vietnamese would kill them for minor offences such as stealing food, and they took away the majority of what they harvested. Home. The Spirit Catches You and You Fall Down essays are academic essays for citation. The Spirit Catches You and You Fall Down… After the youngest daughter, Lia, is diagnosed with … A psychiatrist and medical anthropologist, who developed eight questions to articulate a patient's "explanatory model" of their illness. Hmong vs. Western Medicine. Lia … He was fascinated by the Hmong, knew a lot about them, and counted a Hmong family among his closest friends. At the same time, she was very affectionate and extremely well loved. Copyright © 1999 - 2020 GradeSaver LLC. Struggling with distance learning? Lia eventually lost brain function as a result of septic shock, possibly brought on by the weakened state of her immune system caused by so much medication. I don't recall that the names of grandparents are given. Characters Quotes Contact Important Quotes. Leader of Hmong forces in Laos with a courageous yet contradictory nature. The spirit catches you and you fall down summary: The story is about a three months old girl, Lia Lee, facing the issue of epilepsy, as her first attack. The book is about a small Hmong child named Lia Lee, who had epilepsy. Dang eventually became a grocer and pig farmer and founded California Custom Social Services, an interpreting and liaison agency. Sitemap. Home Author Characters Quotes Contact Characters Lia Lee. In the book “The Spirit Catches You and Falls Down”, the character Lia illness resulted in a cultural divide between the Hmong culture and the American culture. Lia was born to Foua Yang and Nao Kao. "Dan had no way of knowing that Foua and Nao Kao had already diagnosed their daughter's problem as the illness where the spirit catches you and you fall down… Despite the fact that he was anthropologically inclined, had spent two years with the Peace Corps, and respected the need to understand his patients' culture, Bill had trouble connecting with the Hmong, illustrating the difficulty that even open-minded doctors had in understanding and communicating with their Hmong patients. Her seizures normally lasted only a few minutes, but when she didn't get better, Nao Kao's nephew… Anne Fadiman’s non-fiction book The Spirit Catches You and You Fall Down chronicles the life of Lia Lee, a Hmong girl who is a refugee living with her family in Merced, California in the late 1980s and … Nonetheless, Lia's family viewed him as an authority figure and said little to him. The Spirit Catches You and You Fall Down is the poignant story of a young Hmong girl suffering from epilepsy who is caught in the cultural chasm between her family and her rationalist American doctors. Why did so many Hmong flee when offered the choice of resettlement or returning to Laos? His experience illustrates that good intentions are not usually enough to bridge the cultural divide between the American medical system and the Hmong. The Spirit Catches You and You Fall Down Questions and Answers. Of Lia's caregivers, she alone had asked the family what they thought was the cause of Lia's illness and what they were doing to try to treat it. About The Author. He often offered advice, such as taking Lia's pulse with the help of a watch or giving Lia Metamucil in prune juice, without realizing that the family had very little idea what he was talking about. Character Descriptions. Lia was born to Foua Yang and Nao Kao. Sukey was possibly the American most well respected by the Hmong. Blia Yao Moua & Jonas Vangay - They are two Hmong men who very generously took the time to teach the author what it means to be Hmong. Her parents had very different ideas from her doctors about the cause and optimal treatment of Lia's disease. Character Descriptions. … Foua and Nao Kao were loving parents of fifteen children, eight of whom survived. At the same time, they still expected patients to comply with their recommendations and accept that as doctors, they knew what was best. A year later they immigrated to the United States as refugees. The Spirit Catches You and You Fall Down “Fadiman describes with extraordinary skill the colliding worlds of Western medicine and Hmong culture.” —The New Yorker “This fine book recounts a poignant tragedy…It has no heroes or villains, but it has an abundance of innocent suffering, and it … His attitude can be contrasted with that of Lia's doctors, who believed that they alone possessed the relevant knowledge to treat Lia and that the Lees were obligated to comply. Teach your students to analyze literature like LitCharts does. Teachers and parents! Suduiko, Aaron ed. Applied Theory Paper This applied theory paper will analyze both the macro and micro analysis of the Novel, The Spirit Catches You and You Fall Down, by Anne Fadiman (Fadiman, 1997). Neil and Peggy are married to each other and share a practice. A little girl who is part of Merced, California’s population of Hmong immigrants. The Spirit Catches You and You Fall Down Summary. Instant downloads of all 1383 LitChart PDFs It was also fortuitous that her husband belonged to the Lees' clan. Anne Fadiman’s The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures is a non-fiction exploration of culture and medicine that tells the tragic … Bibliography. Based on this information, he moved his family to California, where he found work picking peaches and figs and supplemented his diet by trapping small animals. Dan was the first doctor to realize that Lia had epilepsy, as the first two times Foua and Nao Kao brought Lia to the hospital there were no interpreters present and her seizures had already stopped. She shares the stress and frustration felt by each party and tries to show that each did the best that they knew how, given their cultural backgrounds and understandings. Fadiman wished to tell Lia Lee's story from the point of view of both her parents and her doctors. She stressed the importance of finding a "cultural broker" to help her communicate with the Hmong. "TheBestNotes on The Spirit Catches You and You Fall Down ". Clapsaddle, Diane. Kleinman's retroactive advice to Lia's doctors was to get rid of the term "compliance," to work with the family rather than trying to coerce them, and to recognize that the culture of biomedicine has its own biases. Dan Murphy Character Timeline in The Spirit Catches You and You Fall Down The timeline below shows where the character Dan Murphy appears in The Spirit Catches You and You Fall Down . They spoiled her and treated her like a princess, believing that her epilepsy marked her as special and that she might someday become a shaman. He had also strongly disagreed with Neil's decision to place Lia in foster care. The epileptic child whose tragic story illustrates the cultural divide between the Hmong and the American... Foua Yang and Nao Kao Lee. Exhausted and burnt out, he had little patience for engaging in a conversation about cultural differences. Her father was a famous tvix neeb and a soldier who had trained with the CIA. The first Hmong to relocate to Merced, CA, paving the way for many others to follow. He often treated her when she came to the emergency room and provided Fadiman with some of the data necessary to reconstruct what had happened at the hospital. These papers were written primarily by students and provide critical analysis of The Spirit Catches You and You Fall Down by Anne Fadiman. The Spirit Catches You and You Fall Down explores the clash between a small county hospital in California and a refugee family from Laos over the care of Lia Lee, a Hmong child … Terry Hutchinson Character Timeline in The Spirit Catches You and You Fall Down The timeline below shows where the character Terry Hutchinson appears in The Spirit Catches You and You Fall Down. Lia's frequent seizures resulted in mental retardation, and she often threw tantrums. This free study guide is stuffed with the juicy details and important facts you need to know. She learned English at an American high school and served as interpreter for Jeanine Hilt, Lia's social worker. Blia Yao Moua arranged Fadiman's first meeting with Foua and Nao Kao. She was the fourteenth child and definitely their favorite. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures (FSG Classics) by Anne Fadiman (2012-04-24) [Fadiman, Anne] on Amazon.com. The former chief resident of MCMC and Anne Fadiman's friend, who first told her about the Hmong in Merced and with whom she stayed while conducting her research. The favorable news of the region spread, and eventually as many as one in five Merced residents were Hmong. Foua and Nao Kao visited whenever they could, and the Korda and Lee children became friends. When Foua and Nao Kao failed to correctly administer Lia's complicated medical regimen, Neil had Lia placed in foster care, believing the move to be the only way to ensure that Lia would receive the care she needed. One of Lia's older sisters. She was born in Merced, CA, and she was a Hmong child. Originally from Laos, they escaped to Thailand in 1979 due to communist persecution after the Vietnam War. Dang used to live in Richmond, VA, where his family was the only Hmong and where he worked eighteen hours a day at minimum wage jobs. Lia's neurologist at Valley Children's Hospital in Fresno, which was better equipped to deal with severe cases of childhood trauma than MCMC. They are still answering her questions two decades later. Home. As a result, the family was hospitable and talkative, making it possible for Fadiman to conduct her research. Lia's parents. Find summaries for every chapter, including a The Spirit Catches You and You Fall Down Chapter Summary Chart to help you … Search this site. Because they were Hmong, the residents were treated as traitors and abused by the occupying forces. -Graham S. A family practice resident at Merced Community Medical Center who is interested in Hmong culture. Jonas attended the most elite secondary school in Laos before eventually earning a master’s degree from a French university. The colored … She had seizures due to Lennox-Gastaut syndrome, a severe form of epilepsy. Navigation. He considered his relationship with the Hmong to be two-sided, with each party learning from the other. Like many…, A public health nurse who makes house calls to provide, A successful Hmong businessman living in Merced, California whom, “Would not have made it through AP Literature without the printable PDFs. A good portion of the book is spent recounting Hmong history. The Spirit Catches You and You Fall Down A Hmong Child, Her American Doctors, and the Collision of Two Cultures Main Characters Anne Fadiman Catholic Social Teaching Foua Yang and Nao Kao Lee Jeanine Hilt Lia Lee Mother and Father Social Worker … As an example of the trust she felt for them, she began leaving her own baby with Foua when she took Lia to the doctor. (Although their village had escaped fighting, the Hmong people had helped the CIA to fight the communists and were therefore treated as traitors.) May was just three and a half when her family left Laos. Jonas Vangay, another well-educated Hmong leader, taught Fadiman about Hmong history and linguistics. Vang Pao was a fierce military leader who actively recruited Hmong soldiers. His secret: live among the Hmong, learn their culture, and create educational campaigns that take into account their cultural beliefs. The Question and Answer section for The Spirit Catches You and You Fall Down is a great resource to ask questions, find answers, and discuss the novel. Lia was their favorite because she was diagnosed with epilepsy … His colleagues at MCMC be two-sided, with each party learning from the point of of... Worked at the same time, she was diagnosed with epilepsy … Teachers and parents nearly hit her with courageous. The way for many others to follow and were willing to question their own practices in order to the. Who taught her what to do among the Hmong preferred him as an authority figure and said little him! 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